Pre Arrangement

Planning in advance is about making your wishes known and we've created this simple online form to assist you. You may fill out as much or as little as you wish, but we do need your basic contact information so we can follow up with you to get any additional information we may need to complete your arrangements.

If you have any questions, or would like assistance with this form, please call (281) 541-0291.

Online Preplanning Form

Free Text

Who is This Plan For?

Legal Full Name of Loved One (First Middle Last)

Maiden Name (If Applicable)

Sex

Date of Birth

Age

Birth Place (City, State, or Foreign Country)

County of Birth

Social Security Number (Once Verified We Send SS a Notification Electronically)

Free Text

Family Information

Marital Status

Surviving Spouse (If Wife, Give Maiden Name)

Residence Address

County of Residence

Inside City Limits

Free Text

Family, Work, & Education

Father's Name

Mother's Name

Mothers Maiden Name

Free Text

Education History And Ocupation

Highest Level of Education

Did this person serve in the military?

Yes

If Yes, What Branch?

Ever a Peace Officer in Texas?

Yes

Usual Occupation Majority of Life (Prior to Retirement or Disability)

Type of Business or Industry

Free Text

Other Information

Pacemaker

Yes

Informants Legal Full Name

Relationship

Informants Address

Informants Preferred Phone Number

Legal Next of Kin (if Different from Informant)

Address

Phone Number

How Many Death Certificates Will You Need to Close Out Financial Business ($21 for the first and $4 for each additional)

Free Text

Funeral Service or Memorial Options

Visitation Options

Visitation at funeral home

Visitation elsewhere:

No Visitation

What Are Your Plans With the Cremated Remains

What Families Are Saying About Us

License #4706

License #4808

Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law.